External (open) Rhinoplasty:
Dr.K.O.Paulose FRCS DLO, Consultant ENT Surgeon, Jubilee Hospital, Trivandrum, Kerala, India.
To improve the appearance of a flattened nose it is necessary to introduce some additional framework underneath the skin to raise and straighten the bridge-line. The operation is called Augmentation Rhinoplasty. Various materials are used for the additional framework such as bone, cartilage and synthetic materials are used and the latter have shown not well tolerated by the body. If cartilage is used, it is usually taken from the shell of one or both ears or from cartilage inside the nose, which is spare. When the nose has been flattened by injury or previous surgery.
The nose is the central feature of the face, many people are self-conscious of shape which they may regard as too big, too small or have some other feature which they dislike. The Nose speaks for the face..